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目的:探讨羟基磷灰石义眼座植入术中结合顶端巩膜覆盖的方法及疗效。方法对37例行回顾性分析,均行羟基磷灰石义眼座植入术中采用顶端巩膜覆盖,术后随访6~24个月,观察术后效果。结果均未发生义眼座暴露、感染、脱出、移位;无眶内感染及上睑下垂现象。结论羟基磷灰石义眼座植入术中使用顶端巩膜覆盖是安全有效的,可以避免义眼座暴露等并发症。“,”Objective To investigate the operation methods and clinical effects of hydroxyapatite ( HA) orbital implan-tation with scleral cover at the top.Methods The clinical data of 37 cases treated with hydroxyapatite orbital implanta-tion with scelral cover at the top of hydroxyapatite were retrospectively analyzed.Results During a follow-up period of 6 to 24 months, exposure, exclusion, infection, prolapsus associated with orbital hydroxyapatite implantation were not observed.No orbital infection and ptosis occured.Conclusion The described modified implantation technique is a safe and dependable method with few complications, such as exposure of hydroxyapatite orbital implantation.